Individual
DR. BRUCE D. WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
323 W HIGH ST, ELKHART, IN 46516-2827
(574) 293-9832
(574) 293-9411
Mailing address
323 W HIGH ST, ELKHART, IN 46516-2827
(574) 293-9832
(574) 293-9411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010077
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200398570
—
IN
Enumeration date
07/11/2006
Last updated
01/28/2008
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